Streptoderma hauv menyuam yaus: duab, tsos mob thiab kev kho mob

2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:46

Streptoderma hauv cov menyuam yaus yog ib yam kab mob uas tshwm sim los ntawm kev tiv thaiv keeb kwm yav dhau los txo qis. Cov kab mob ua rau muaj ntau hom kab mob streptococcus. Cov tsos mob ntawm tus kab mob no tau hais tawm, cov pob khaus tshwm sim qee zaum ntawm cov mucous daim nyias nyias, feem ntau ntawm daim tawv nqaij. Yog tias kev kho mob tsis pib raws sij hawm, ces tus kab mob streptococcus kis mus rau ntau qhov chaw tshiab ntawm daim tawv nqaij.

Lub sij hawm incubation ntawm streptoderma kav ib lub lim tiam, tom qab uas tus kab mob no pib ua kom nquag plias thiab loj hlob mus rau hauv ib tug mob. Txhawm rau kom tsis txhob muaj teeb meem, tom qab kuaj pom, nws yuav tsum tau pib kho tam sim ntawd. Cov chav kawm ntawm tus kab mob tuaj yeem sib txawv: mob ntev, mob, sib sib zog nqus los yog superficial. Nyob rau hauv daim ntawv mob ntev, streptococcus raug txiav txim tam sim ntawd thaum twg muaj qhov txhab thiab mob tshwm sim ntawm daim tawv nqaij.

Kab mob nrog streptoderma

Streptoderma hauv cov menyuam yaus yog ib yam kabmob sib kis. Feem ntau nws cuam tshuam rau cov menyuam yaus (2-7 xyoo). Provoking yam uas ua rau muaj kab mob streptococcus,yog abrasions, txiav, kab tom, khawb thiab lwm yam kev puas tsuaj rau daim tawv nqaij. Los ntawm lawv, tus kab mob yooj yim nkag mus rau hauv lub cev. Tus kab mob streptoderma pib li cas hauv cov menyuam yaus? Tus kab mob tuaj yeem kis tau los ntawm cov khoom ua si, tais diav, khoom kov los ntawm tus menyuam mob, uas yog, hauv txhua tsev neeg. Ib zaug nyob rau hauv lub cev noj qab haus huv, tom qab ob peb hnub, tus kab mob pib tshwm nyob rau hauv daim ntawv ntawm pob khaus.

Dab tsi yog streptoderma? Tus neeg sawv cev ua rau, raws li twb tau hais lawm, yog kab mob streptococcal (feem ntau pawg A - feem ntau yog beta-hemolytic pyogenic streptococcus). Nws kev tsim tawm ntawm daim tawv nqaij ua rau tsim cov kab mob eczema, impetigo thiab lwm yam kab mob, uas tau koom ua ke los ntawm ib lub tswv yim ntawm "streptoderma". Koj tuaj yeem pom cov kab mob streptococcus tsis yog ntawm cov khoom ua si thiab tais diav, tab sis kuj ntawm tus menyuam cov khaub ncaws (ob hauv qab thiab sab saum toj), linen yuav tsum tau ironed nrog cov hlau kub.

Txhua tus neeg (ob leeg me thiab laus) muaj mob otitis, tonsillitis lossis erysipelas tuaj yeem ua tus cab.

Ua rau kab mob

Streptococcus yog ib tus neeg sawv cev ntawm microbial opportunistic flora. Yog tias lub cev tiv thaiv kab mob ua haujlwm ib txwm muaj, tsis muaj qhov txhab ntawm cov mucous thiab daim tawv nqaij, qhov kev loj hlob ntawm cov kab mob no yuav raug txwv, streptoderma tsis loj hlob hauv cov menyuam yaus. Hauv qhov me me, qee yam ntawm cov kab mob no muaj nyob hauv tib neeg lub cev, tab sis lub cev tsis muaj zog tiv thaiv lawv.

Cov txheej txheem inflammatory pibsai li sai tau raws li cov xwm txheej zoo rau cov kab mob microbes tshwm sim hauv cov kab mob uas tsis muaj zog, streptoderma tshwm sim hauv cov menyuam yaus. Daim duab qhia tau hais tias muaj npuas ntau heev. Tus neeg mob ua rau muaj kev phom sij thiab kis tau.

Vim li no, cov menyuam yaus feem ntau mob hauv cov menyuam yaus, qhov chaw lawv siv cov khoom siv hauv tsev, khoom ua si.

Cov kab mob kis tau zoo nrog cov plua plav, yog li nws raug nquahu kom ua kom ntub dej ntau zaus rau kev tiv thaiv. Ntxiv nrog rau cov npe ua rau kis kab mob hauv lub cev, nws tsim nyog ntxiv kev ntxhov siab thiab kev noj zaub mov tsis zoo.

Ntxiv rau qhov tseem ceeb, muaj ib daim ntawv thib ob ntawm streptoderma. Nws ua rau yog cov kab mob uas ua rau ua txhaum ntawm daim tawv nqaij. Nws tuaj yeem ua pob khaus, ringworm lossis eczema. Cov laj thawj tseem ceeb vim li cas streptoderma tshwm sim, cov kws kho mob suav nrog cov hauv qab no:

• tsis ua raws li kev nyiam huv ntawm tus kheej;
• ua rau cov mucous daim nyias nyias thiab daim tawv nqaij (kawg, abrasions, qaug dab peg, khawb ntawm kab tom, thiab lwm yam);
• kev nyuaj siab;
• kev puas tsuaj ntawm lub cev tiv thaiv kab mob;
• kab mob ntawm daim tawv nqaij ntev (pediculosis, dermatitis, psoriasis);
• kab mob endocrine (mob ntshav qab zib mellitus);
• tsis muaj cov vitamins hauv lub cev;
• nrog cov txheej txheem dej ntau dhau, cov yeeb yaj kiab tiv thaiv tau ntxuav tawm ntawm daim tawv nqaij;
• nrog cov txheej txheem dej tsawg dhau, cov hlwb tuag ntawm cov dermis thiab cov kab mob uas muaj feem cuam tshuam tsis raug tshem tawm;
• frostbite thiab kub hnyiab;
• kev npam;
• varicose veins (kwv yees tsis zoo).

YStreptoderma hauv cov menyuam yaus: cov tsos mob thiab cov duab

Lub sijhawm incubation ntawm tus kab mob kav rau xya hnub. Daim duab kho mob ntawm streptoderma hauv cov menyuam yaus pib tshwm sim tom qab lub sijhawm no.

Cov kws kho mob dermatologist faib cov tsos mob ua ob pawg - cov no yog qhov yooj yim thiab ntxiv. Cov tseem ceeb tshaj plaws yog cov uas muaj cov tsos mob streptoderma. Tej zaum yuav tshwm sim nyob rau hauv lwm yam kab mob thaum yau.

Cov tsos mob tseem ceeb ntawm streptoderma hauv cov menyuam yaus:

1. Liab tshwm nyob rau ntau qhov chaw ntawm lub cev. Cov pob khaus tuaj yeem ua rau ntawm lub ntsej muag, caj npab, ceg, nraub qaum, pob tw.
2. Tom qab npuas tshwm, cov kua daj daj sab hauv.
3. Rau ob hnub qhov loj ntawm cov npuas nce ntxiv, tom qab ntawd lawv tawg.
4. Erosions daim tawv nqaij uas ntub dej, ces qhuav mus rau daj crusts.
5. Cov pob zeb poob dhau sijhawm.
6. Tom qab ntawd, cov pob dawb tseem nyob, uas maj mam ploj mus.
7. Txhua lub voj voog no, tus menyuam daim tawv nqaij khaus khaus.

Thaum khawb, tus kab mob kis tau zoo dua, rov qab los tom qab. Streptoderma hauv menyuam yaus (cov tsos mob pom hauv daim duab) ua rau muaj kev tsis xis nyob.

Tus kab mob no kav li ntawm 3 mus rau 7 hnub, cov lus pom zoo kho mob yuav tsum ua raws li nruj me ntsis.

Cov tsos mob ntxiv muaj xws li:

• ntau cov qog nqaij hlav;
• kub nce;
• xeev siab thiab ntuav;
• qaug zog, tsis qab los noj mov, dav dav malaise, lethargy, pw tsaug zog.

Ntau tus niam txiv, tsis paub meej cov tsos mob ntawm tus kab mob streptoderma, ua rau tus kab mob no cuam tshuam nrog lwm yam kab mob ntawm daim tawv nqaij (pityriasis versicolor, urticaria, atopic dermatitis, eczema, pyoderma). Kev kho mob rau txhua tus kab mob tuaj yeem sib txawv, yog li tsuas yog ib tus kws tshaj lij tshwj xeeb yuav tsum tsim qhov kev kuaj mob. Streptoderma yog ntau haiv neeg. Thawj cov hlwv uas tshwm sim yog hu ua impetigo, nyob rau hauv lawv qhov chaw quaj mob daim ntawv.

kab mob

Streptoderma muaj ntau ntau yam, xav txog feem ntau ntawm lawv.

Streptococcal impetigo yog hom classic thiab feem ntau. Tus kab mob streptoderma pib li cas hauv cov menyuam yaus? Daim duab qhia tau hais tias cov pob liab liab tshwm rau ntawm lub ntsej muag. Lawv tuaj yeem tsim ntawm tes thiab taw, ntawm tes. Daim ntawv no yog qhov txwv tshaj plaws, qhov no tus kab mob tsis nkag mus tob dua li txheej txheej ntawm lub dermis. Nws cov haujlwm tiv thaiv tau khaws cia, thaum lub zog tiv thaiv hauv zos tau qhib. Tawm tsam keeb kwm ntawm qhov liab liab, kev tsis sib haum xeeb yog tsim (npuas nrog cov kua ntshiab). Thaum lawv tshwm sim, khaus hnyav pib. Tom qab cov kua ua pos huab, cov npuas qhib, ua npog nrog lub crust, qhuav. Tom qab tshem tawm cov crusts, pigment me ntsis nyob ntawm daim tawv nqaij. Hauv chav kawm ib txwm muaj, tus kab mob no kav ntev txog xya hnub. Nrog cov teeb meem, nws yuav siv sij hawm txog peb lub lis piam.

Nrog bullous impetigo, qhov chaw ntawm pob khaus yog qis thiab sab sauv (ko taw thiabtxhuam), qhov chaw yog loj. Tom qab qhib, cov qhov txhab loj tuaj thiab ntes thaj chaw noj qab haus huv ntawm daim tawv nqaij.

Kab mob Streptococcal diaper pob feem ntau tshwm sim hauv cov menyuam mos thiab cov neeg rog rog. Nws yog nyob rau hauv daim tawv nqaij folds: nyob rau hauv lub armpits, nyob rau hauv lub mammary qog, nyob rau hauv lub inguinal-femoral thiab intergluteal folds.

Nyob rau hauv daim ntawv ntawm qhuav streptoderma, yooj yim lichen yog feem ntau tsim nyob rau hauv cov me nyuam. Nws zoo nkaus li ib qho chaw uas muaj ciam teb meej ntawm cov xim liab liab. tshwm sim ntawm lub ntsej muag. Nyob rau hauv kev cuam tshuam ntawm tshav ntuj, cov pob liab liab txo qis. Yav dhau los tanned thaj chaw muaj xim txawv dua li ntawm daim tawv nqaij.

Streptococcal congestion yog ib qho ntawm ntau yam ntawm slit-zoo li impetigo. Cov npuas tsim ntawm cov ces kaum ntawm lub qhov ncauj. Tom qab lawv ploj lawm, cov kab nrib pleb (seroion) tsim rau ntawm thaj chaw cuam tshuam, lawv tau npog nrog cov xim daj. Cov menyuam yaus feem ntau tev tawm cov pob zeb no, tab sis nws rov tshwm sim.

Streptococcal ecthyma yog hom mob hnyav tshaj plaws ntawm streptoderma. Cov kab mob nkag mus rau hauv cov txheej txheem tob ntawm dermis. Thaum lub sij hawm tus kab mob no, caws pliav thiab ulcerative-necrotic lesions yog tsim. Feem ntau daim ntawv no cuam tshuam rau ob txhais ceg thiab caj npab. Nws tsis tshwm sim ntawm lub ntsej muag, txij li thaum muaj cov ntshav txaus rau ntawm daim tawv nqaij, nws tso cai rau koj sai sai tiv nrog cov txheej txheem inflammatory. Yog hais tias tus activator ntawm ecthyma nkag mus rau hauv cov hlab ntsha, ib tug neeg pib hnov cov tsos mob ntawm tus kab mob-toxic shock, thaum lub xeev ntawm kev noj qab haus huv deteriorates ho.

Diagnosis

Yuav kom paub seb yuav ntsuas dab tsi los tiv thaiv tus kabmob, tus kws kho mob yuav tsum raugkuaj mob. Nws tau tham saum toj no yuav ua li cas streptoderma pib hauv cov menyuam yaus. Thawj qhov tsis txaus ntseeg, cov niam txiv yuav tsum hu rau lawv tus kws kho mob tam sim ntawd.

Kev kuaj mob yog tsim los ntawm lub hauv paus ntawm cov ntaub ntawv (kev tshwm sim ntawm tus kab mob streptoderma hauv pab pawg menyuam yaus, ib qho kev sib cuag nrog tus neeg nqa khoom ntawm tus kab mob) thiab tom qab kuaj pom (ntau lub vesicles lossis zib ntab-xim crusts).

Rau qhov kev kawm paub tseeb dua, siv txoj hauv kev sim:

1. Ib smear yog muab los ntawm qhov chaw ntawm daim tawv nqaij rau microscopy.
2. Ib feem ntawm cov crust yog sown rau ib qho nruab nrab nutrient (bacteriological tsom xam).

Cov kev no yog siv ua ntej noj tshuaj tua kab mob thiab yog tias tsis tau siv tshuaj rau tus kheej.

Thaum kuaj mob, tus kws kho mob muaj peev xwm tso siab rau tag nrho cov ntaub ntawv:

1. Cov cim qhia kho mob. Cov kev tshwm sim sab nraud ntawm tus kab mob kis tau raug coj mus rau hauv tus account, qhov xwm ntawm nws cov tsos yog tsim.
2. Bacteriological method. Kev khawb tawm yog muab los ntawm daim tawv nqaij rau kev cog qoob loo, cov ntsiab lus ntawm cov hlwv raug tshuaj xyuas, nrog rau cov paug tawm hauv cov ntaub ntawv ntawm kev puas tsuaj rau lub dermis.
3. Qhov kev nkag siab ntawm tus menyuam rau ntau yam tshuaj tua kab mob raug coj mus rau hauv tus account thaum muab tshuaj kho.
4. Txoj kev kuaj ntxiv muaj xws li: kuaj qe qe, kuaj ntshav biochemical thiab kuaj ntshav, kuaj zis. Cov txiaj ntsig ua rau nws tuaj yeem txiav txim siab li cas cov txheej txheem inflammatory tshwm sim hauv lub cev, yuav tsum xaiv cov kev kho mob twg.
5. Differential diagnosis. Txhua tus kws kho mob paub tias lawv tuaj yeem zais lawv tus kheej li streptodermaLwm cov kab mob uas muaj cov tsos mob zoo sib xws. Cov no yog cov kab mob fungal, staphylococcal pyoderma, syphilis, herpes, kab mob qhua pias. Tsuas yog tom qab sau tag nrho cov ntaub ntawv, tus kws kho mob tsim qhov kev kuaj mob kom raug thiab sau ntawv kho mob.

Kev kho mob streptoderma

Kev kho tus kab mob streptoderma (ntawm lub ntsej muag ntawm tus menyuam lossis lwm qhov ntawm lub cev) yuav tsum ua kom raug, ua raws li txhua tus kws kho mob cov lus pom zoo.

Muaj ntau yam kev kho mob uas yuav pab tiv thaiv tus kab mob. Ib tug ntawm lawv yog noj tshuaj tua kab mob. Cov tshuaj no yog siv ob qho tib si sab nraud thiab sab hauv. Cov kws kho mob tsis tau sau cov ntawv kho mob hnyav no yog tias qhov tshwm sim ntawm streptoderma yog ib leeg lossis mob me. Yog tias cov niam txiv paub tias tus kab mob streptoderma pib li cas hauv cov menyuam yaus (daim duab tau nthuav tawm), tom qab ntawd lawv txoj kev kho mob raws sijhawm yuav pab kom tsis txhob muaj tus kab mob hnyav. Tus kws kho mob tau sau tshuaj tua kab mob tsuas yog nyob rau hauv cov xwm txheej uas cov txheej txheem nquag txhim kho thiab nws nyuaj rau txwv tsis pub. Hauv cov xwm txheej tshwj xeeb, kev siv tshuaj hormonal txawm yuav tsum tau.

tshuaj pleev tshuaj tua kab mob:

• erythromycin;
• tetracycline»
• "Lincomycin";
• Gentamicin;
• Mupiracin;
• "Bactroban";
• "Baneocin";
• Levomikol;
• "Synthomycin";
• Altargo;

tshuaj pleev tshuaj Hormonal siv nyob rau hauv tsawg zaus:

• "Zoo siab";
• Lorinden C;
• Canison Plus;
• "Betaderm";
• Triderm.

Hauv kev kho mob, cov kws kho mob tau sau tshuaj tua kab mob ntawm pab pawg penicillin, macrolides, cephalosporins. Penicillins tsis raug tshuaj rau hauv cov xwm txheej uas tus menyuam nyuam qhuav tau txais cov tshuaj tua kab mob zoo li no yav dhau los rau lwm yam kab mob, thiab yog tias nws keeb kwm suav nrog kev mob siab lossis tsis kam rau cov tshuaj no.

tshuaj kho mob

siv tshuaj dab tsi, nws tau paub meej, thiab yuav ua li cas kho tus kab mob streptoderma hauv cov menyuam yaus (thawj cov tsos mob pom hauv daim duab) ua ntej mus ntsib kws kho mob, thaum tus me nyuam pib ua thiab zuaj qhov mob.

Cov nyiaj uas nyob hauv ib lub tsev pab thawj zaug tuaj cawm:

• hydrogen peroxide;
• salicylic cawv;
• Yboric acid;
• fucorcin;
• ntsuab ntsuab.

Antiseptics yuav tsum tau siv kom muaj peev xwm, nrog kev txawj ntse. Cov npuas yog qhib kom zoo zoo, tom qab ntawd nrog paj rwb swab tus neeg sawv cev yog siv rau thaj tsam cuam tshuam nrog tuav ib ncig ntawm thaj tsam li 1-2 hli. Cov tshuaj tua kab mob yuav tsum qhuav tag.

Tus kab mob streptoderma zoo li cas hauv cov menyuam yaus, cov niam txiv txhua tus yuav tsum paub thiab siv sijhawm los ntsuas tus menyuam.

Kev siv decoctions ntawm cov nroj tsuag tshuaj tau lees paub txawm tias los ntawm cov tshuaj raug cai. Yuav pab txo qhov khaus thiab khaus khaus los ntawm koob, calendula, chamomile, ntoo qhib tawv.

Tab sis tag nrho cov nyiaj no tsuas yog siv los ua ntxiv, nrog rau kev kho tshuaj.

Streptoderma hauv cov menyuam yaus: kev kho mob hauv tsev

Cov hauv qab no yog cov zaub mov txawv uas tau siv los ua tshuaj rau ntau xyoo. Nrog rau cov kab mob ntawm daim tawv nqaij, cov tshuaj no pab kom txo tau cov kab mob.

Daim duab ntawm tus kab mob streptoderma nyob rau hauv tus me nyuam ntawm lub ntsej muag qhia tau tias liab, pob liab liab uas ua rau tus me nyuam tsis hnov qab. Siv decoctions, koj tuaj yeem txo cov tsos mob tsis zoo.

1. Oak bark decoction yog nto moo rau nws cov khoom tiv thaiv kab mob. Noj 0.5 liv dej thiab ncuav ib tablespoon ntawm qhuav raw khoom. Boil rau ib nrab ib teev. Txias lub broth thiab lim. Nws yog qhov zoo dua los kho qhov chaw ntawm daim tawv nqaij thaum sawv ntxov thiab yav tsaus ntuj.
2. Rau cov tshuaj pleev ib ce, ib qho decoction ntawm txoj hlua lossis calendula yog siv. Rau 20 grams ntawm raw cov ntaub ntawv, 300 ml ntawm dej yog npaum li cas, txhua yam yog muab tso rau hauv khob iav thiab hnub nyoog nyob rau hauv ib tug da dej rau 40 feeb. Thaum sov, nws yog siv rau thaj chaw muaj kev cuam tshuam (koj tuaj yeem siv paj rwb ntaub, ntaub qhwv).
3. Ib decoction ntawm sage pab tau zoo. Ncuav ib nrab khob ntawm tws nyom nrog 0.5 liv dej thiab boil rau kaum feeb. Lim lub decoction thiab coj nws mus rau hauv. Muab rau tus menyuam 50-100 ml ntawm cov zaub mov tseem ceeb. Rau cov tshuaj pleev, koj tuaj yeem siv lub ncuav mog qab zib los ntawm straining, tom qab qhwv nws hauv daim ntaub.

Kev tu tus kheej

Peb tau tshuaj xyuas cov kab mob streptoderma hauv cov menyuam yaus, cov duab thiab kev kho mob kuj tau nthuav tawm. Thiab dab tsi yuav tsum tau ua kom tus kab mob no kis tau sai npaum li sai tau thiab tsis tshwm sim rau yav tom ntej? Ua tib zoo saib xyuas koj tus menyuam txoj kev nyiam huv. Nco ntsoov:

1. Thawj 3-4Hnub twg koj yuav tsum tsis txhob da dej rau tus menyuam, dej sai sai ua rau kis tus kab mob mus rau qhov chaw ntawm daim tawv nqaij.
2. Qhov chaw ntawm daim tawv nqaij uas tsis raug ntes los ntawm tus kab mob, so txhua hnub nrog paj rwb swab moistened nrog tshuaj ntsuab decoctions.
3. Nco ntsoov tias tus menyuam mos tsis txhuam qhov mob. Rau qhov khaus khaus tsis haum, tus kws kho mob yuav muab tshuaj tua kab mob tsim nyog.
4. Muab rau koj tus menyuam qee yam khoom siv hauv tsev: tais diav, phuam da dej. Kho kom zoo tom qab siv.
5. Tshem tag nrho cov khoom ua si mos thaum koj mob. Yas yog niaj hnub ntxuav hauv boiled dej thiab kho nrog antiseptics.
6. ntaub pua chaw pw yuav tsum tau hloov txhua hnub, ironed nrog cov hlau kub, tshwj xeeb tshaj yog hauv ncoo.
7. Txhua daim tawv nqaij yuav tsum tau kho nrog tshuaj tua kab mob.

Ua raws li tag nrho cov kev ntsuas no, koj tuaj yeem pab koj tus menyuam. Tus kab mob yuav kis mus rau hauv ib daim ntawv me me thiab nyob rau hauv ib lub sij hawm luv luv. Txwv tsis pub, yog tias tus kab mob kis mus rau thaj chaw noj qab haus huv ntawm daim tawv nqaij, tus kab mob yuav ua rau mob hnyav dua thiab rub mus ntev.

Kev Tiv Thaiv

Txhawm rau tiv thaiv kev rov tshwm sim ntxiv ntawm tus kab mob streptoderma hauv tus menyuam ntawm lub ntsej muag lossis lwm qhov ntawm lub cev, ua tib zoo saib xyuas kev noj qab haus huv ntawm koj tus menyuam. Muab nws nrog kev noj zaub mov kom zoo, saib xyuas kev nyiam huv. Txhawm rau txhim kho kev tiv thaiv, taug kev ntau zaus, sau npe rau lub pas dej, siv cov vitamin complexes. Rau ib qho kev puas tsuaj rau ntawm daim tawv nqaij, tshuaj tua kab mob tam sim ntawd, qhov no yuav kaw qhov nkag rau kev nkag mus ntawm ntau yam kab mob.

Nco qhov yooj yimcov ntsiab lus rau kev tiv thaiv kab mob sib kis. Lawv qhov kev siv yuav tso cai rau koj tus menyuam kawm thaum yau los tiv thaiv nws lub cev los ntawm ntau yam kab mob:

1. Ua raws li cov cai ntawm kev tu tus kheej.
2. Tus me nyuam noj qab nyob zoo yuav tsum ntxuav thiab da dej txhua hnub.
3. Koj yuav tsum hloov koj lub ris tsho hauv qab txhua hnub.
4. Cov kab mob ntawm daim tawv nqaij yuav tsum tau kho kom raug thiab raws sijhawm.
5. Kev noj qab haus huv yog ib qho tseem ceeb.
6. Siv sij hawm ntau sab nraum zoov, hauv qhov xwm txheej.
7. Nco ntsoov ua kom qoj ib ce.
8. Steel koj tus me nyuam thaum yug.
9. Tau koj tus menyuam kom noj qab haus huv thiab sib npaug.

Raws li koj pom, nws tsis yog qhov nyuaj los ua kom lub neej noj qab nyob zoo rau tus menyuam. Txhua tus niam txiv uas hlub tshua, nrog rau kev ua raws li peb cov lus pom zoo, yuav zam tau cov kab mob sib kis hauv tus menyuam, thiab yog tias lawv tshwm sim, tiv nrog lawv nyob rau lub sijhawm luv luv.